| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.49 | $44.05 | $72.90 | |
Aetna
| Professional | $25.61 | $45.38 | $80.00 | |
Cigna
| Facility | $50.02 | $50.02 | $50.02 | |
Cigna
| Professional | $50.29 | $50.29 | $263.51 | |
United
| Professional | $49.19 | $75.67 | $99.54 |